Individual
KAITLYN LEASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 HUNTER DR, CRANBERRY TWP, PA 16066-7605
(878) 208-4322
Mailing address
783 W OLD ROUTE 422, BUTLER, PA 16001-0247
(724) 709-5098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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